Physical Activity and Excess Weight in Pregnancy Have Independent and Unique Effects on Delivery and Perinatal Outcomes
dc.contributor.author | Morgan, KL | |
dc.contributor.author | Rahman, MA | |
dc.contributor.author | Hill, RA | |
dc.contributor.author | Zhou, Shang-Ming | |
dc.contributor.author | Bijlsma, G | |
dc.contributor.author | Khanom, A | |
dc.contributor.author | Lyons, RA | |
dc.contributor.author | Brophy, ST | |
dc.date.accessioned | 2021-02-04T22:21:08Z | |
dc.date.available | 2021-02-04T22:21:08Z | |
dc.date.issued | 2014-04-10 | |
dc.identifier.issn | 1932-6203 | |
dc.identifier.issn | 1932-6203 | |
dc.identifier.other | ARTN e94532 | |
dc.identifier.uri | http://hdl.handle.net/10026.1/16852 | |
dc.description.abstract |
BACKGROUND: This study examines the effect of low daily physical activity levels and overweight/obesity in pregnancy on delivery and perinatal outcomes. METHODS: A prospective cohort study combining manually collected postnatal notes with anonymised data linkage. A total of 466 women sampled from the Growing Up in Wales: Environments for Healthy Living study. Women completed a questionnaire and were included in the study if they had an available Body mass index (BMI) (collected at 12 weeks gestation from antenatal records) and/or a physical activity score during pregnancy (7-day Actigraph reading). The full statistical model included the following potential confounding factors: maternal age, parity and smoking status. Main outcome measures included induction rates, duration of labour, mode of delivery, infant health and duration of hospital stay. FINDINGS: Mothers with lower physical activity levels were more likely to have an instrumental delivery (including forceps, ventouse and elective and emergency caesarean) in comparison to mothers with higher activity levels (adjusted OR:1.72(95%CI: 1.05 to 2.9)). Overweight/obese mothers were more likely to require an induction (adjusted OR:1.93 (95%CI 1.14 to 3.26), have a macrosomic baby (adjusted OR:1.96 (95%CI 1.08 to 3.56) and a longer hospital stay after delivery (adjusted OR:2.69 (95%CI 1.11 to 6.47). CONCLUSIONS: The type of delivery was associated with maternal physical activity level and not BMI. Perinatal outcomes (large for gestational age only) were determined by maternal BMI. | |
dc.format.extent | e94532-e94532 | |
dc.format.medium | Electronic-eCollection | |
dc.language | en | |
dc.language.iso | eng | |
dc.publisher | Public Library of Science (PLoS) | |
dc.subject | Adult | |
dc.subject | Apgar Score | |
dc.subject | Body Mass Index | |
dc.subject | Delivery, Obstetric | |
dc.subject | Female | |
dc.subject | Humans | |
dc.subject | Infant, Newborn | |
dc.subject | Infant, Small for Gestational Age | |
dc.subject | Length of Stay | |
dc.subject | Models, Statistical | |
dc.subject | Motor Activity | |
dc.subject | Overweight | |
dc.subject | Parity | |
dc.subject | Pregnancy | |
dc.subject | Prospective Studies | |
dc.subject | Smoking | |
dc.subject | Social Class | |
dc.subject | Surveys and Questionnaires | |
dc.title | Physical Activity and Excess Weight in Pregnancy Have Independent and Unique Effects on Delivery and Perinatal Outcomes | |
dc.type | journal-article | |
dc.type | Journal Article | |
dc.type | Research Support, Non-U.S. Gov't | |
plymouth.author-url | https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000336909100092&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008 | |
plymouth.issue | 4 | |
plymouth.volume | 9 | |
plymouth.publication-status | Published online | |
plymouth.journal | PLoS ONE | |
dc.identifier.doi | 10.1371/journal.pone.0094532 | |
plymouth.organisational-group | /Plymouth | |
plymouth.organisational-group | /Plymouth/Faculty of Health | |
plymouth.organisational-group | /Plymouth/Faculty of Health/School of Nursing and Midwifery | |
plymouth.organisational-group | /Plymouth/REF 2021 Researchers by UoA | |
plymouth.organisational-group | /Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy | |
plymouth.organisational-group | /Plymouth/Users by role | |
plymouth.organisational-group | /Plymouth/Users by role/Academics | |
dc.publisher.place | United States | |
dcterms.dateAccepted | 2014-03-18 | |
dc.identifier.eissn | 1932-6203 | |
dc.rights.embargoperiod | Not known | |
rioxxterms.funder | Medical Research Council | |
rioxxterms.identifier.project | DECIPHer: Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement | |
rioxxterms.versionofrecord | 10.1371/journal.pone.0094532 | |
rioxxterms.licenseref.uri | http://www.rioxx.net/licenses/all-rights-reserved | |
rioxxterms.licenseref.startdate | 2014 | |
rioxxterms.type | Journal Article/Review | |
plymouth.funder | DECIPHer: Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement::Medical Research Council |